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CITY OF EVERETT <br /> Application and Gas Installation Permit <br /> All Work to be Done in Accordance with <br /> City Ordinance <br /> n � <br /> Everett, Washington.........Ll.�../...�..........., 19..�'.�?.. <br /> a�..�J 0..'..e� l�-C-�•�•_•,__:__ <br /> Location..::......... .........J..... .................... <br /> Owner.............._-�f..'.�'!p.!-a:;-�-�........................... <br /> Applitant........�....�.4.q:��,_w:..�..............................._.. <br /> Rough piping inspection _ _ _ <br /> Pipe in �+xcess bf 60' - _ _ - Gas Stoves �/ <br /> Gas rafriperators . _ _ . Gas water heaters._lS__._ <br /> Gas space heaters to 70,000 B.T.U. input _ _ - - _ <br /> Gas space heaters over 70,000 A '. input . _ <br /> Gas fumaces to 400,000 B.T.U. mput _ __ _ - - <br /> Gas iurnaccs over 400,000 B.T.U. input <br /> Convcrsion units to 400,000 B.T.U. input __ <br /> Conversion units over 400,000 B.T.U. input _ _ _ _ <br /> Small appliances- -__...__..�._.-----------_-------�� <br /> �___. _-------- <br /> - - •----- -.� � <br /> Call Back,'Inspection ___ ___.- Fee Paid $.-�-- --- <br /> . .,._. __ r - —,-- ,__ _ <br /> ---- - --- _ .Appliwnt <br /> aY.. .._. _ �:h�.1� .�`-1L�`t.___...., ...-- - - <br /> Plans approved and Permit'gtan1Zd a's requcsted herei�i. <br /> _ ���y,�'►-�rff�'�V Inspedor <br /> aY ( , ) )1 <br /> PENMIT *1`.' ''�� ` '.a <br />